Provider Demographics
NPI:1669065314
Name:BARTLETT, WILLIAM (DC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:BARTLETT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 CUMBERLAND RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:NORTH YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04097-6577
Mailing Address - Country:US
Mailing Address - Phone:207-489-9079
Mailing Address - Fax:
Practice Address - Street 1:178 CUMBERLAND RD UNIT B
Practice Address - Street 2:
Practice Address - City:NORTH YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04097-6577
Practice Address - Country:US
Practice Address - Phone:207-558-1938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-13
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR2714111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor